India and 15 other countries in sub-Saharan Africa reckoned for virtually 80 percent of the malaria cases reported globally last year, according to a WHO (World Health Organization) report which notes that a colossal 1.25 billion people in India were at the peril of getting the mosquito-borne disease.

The World Malaria Report 2018 by WHO, however, in an uplifting note said that India was the only country to report development in reducing its malaria cases in 2017 as compared with 2016.

It said five countries to account for nearly half of all malaria cases worldwide were Mozambique (5 percent), the Democratic Republic of the Congo (11 percent), Nigeria (25 percent), India, and Uganda (4 percent) both.

Altogether, 15 countries in sub-Saharan Africa and India carried about 80 percent of the global malaria burden. In India, 1.25 billion people in the population were at risk of malaria, the report said.

It said that targets to reduce global rates of infections and deaths from malaria were not being met.

The study reveals that while new cases fell continuously in the lead until 2016, the number rose from 217 to 219 million in 2017: the targets set by the WHO Global technical strategy for malaria 20162030 call for a drop in malaria case incidence and death rates of nearly 40 percent by 2020.

The 10 highest onus countries in Africa reported augments in cases of malaria in 2017 compared with 2016.

Of these, Madagascar, Nigeria, and the Democratic Republic of the Congo had the highest estimated increases, all greater than half a million cases.

In contrast, India reported three million fewer cases in the same period, a 24 decrease compared with 2016.

However, cases in the African countries rose by 3.5 million compared with the previous year.

Nearly 80 percent of global malaria deaths in 2017 were accumulated in 17 countries in the WHO African Region and India, the report said.

The report noted that while India "had made impressive gains and was on track" to meet the Global technical strategy for malaria 20162030 targets, it still accounted for 4 percent of the global burden of malaria morbidity and 52 percent of deaths outside of the WHO African Region.

India was among the countries that detected high treatment failure rates and responded by changing their treatment policies, it said.

The report added that India and Indonesia were on track to achieve a 2040 percent reduction in case incidence by 2020.

The WHO, the main United Nations health agency, and its partners have launched a country-led 'high burden to high impact' response plan to coincide with the release of the report with the aim of scaling up prevention, treatment and investment to protect vulnerable people, and get reductions in malaria deaths and disease back on track.

The plan builds on the principle that no one should die from a disease that can be easily prevented and diagnosed, and that is entirely curable with available treatments.

"The world faces a new reality: as progress stagnates, we are at risk of squandering years of toil, investment, and success in reducing the number of people suffering from the disease," WHO Director-General Tedros Adhanom Ghebreyesus said.

"We recognize we have to do something different now," Ghebreyesus said.

A positive note was struck in Paraguay, which has this year been certified as malaria-free, the first country in the Americas to get this status in 45 years.

The number of countries nearing riddance has now increased from 37 to 46, and three countries Argentina, Algeria, and Uzbekistan have requested official malaria-free authorization from the WHO.

Domestic funding has been identified as significant to the success of the WHO's malaria strategy.

The UN agency says that funding, which has leveled off, needs to reach at least $6.6 billion annually by 2020 more than double the amount available today.